In the cloudflare documentation: "As a note, the default method used for ACME authentication by the Let’s Encrypt client utilizes the DVSNI method. This will fail for a domain which has Cloudflare enabled as we terminate SSL (TLS) at our edge and the ACME server will never see the certificate the client presents at the origin. Using alternate ACME validation methods, such as DNS or HTTP will complete successfully when Cloudflare is enabled."